A nurse is assessing a patient with a hemoglobin level of 7 g/dL.
What is the appropriate indication for blood transfusion based on this hemoglobin level?
"I'm feeling weak and dizzy.”
"My hemoglobin is 7 g/dL, so I need a transfusion.”
"I had orthopedic surgery yesterday.”
"I have a stable cardiovascular disease.”
The Correct Answer is B
Choice A rationale:
"I'm feeling weak and dizzy." Rationale: Weakness and dizziness can be symptoms of anemia, which is often associated with low hemoglobin levels.
However, these symptoms alone are not a definitive indication for blood transfusion.
Other factors, such as the patient's overall clinical condition and the cause of the low hemoglobin, need to be considered.
Choice B rationale:
"My hemoglobin is 7 g/dL, so I need a transfusion." Rationale: This statement indicates that the patient is aware of their low hemoglobin level and believes they need a transfusion.
The hemoglobin level of 7 g/dL is a common threshold used as an indication for blood transfusion, especially in symptomatic patients.
This choice is correct because it aligns with the appropriate clinical indication for a transfusion based on the hemoglobin level.
Choice C rationale:
"I had orthopedic surgery yesterday." Rationale: While surgery can lead to blood loss, the statement alone does not provide sufficient information to determine if a transfusion is necessary.
The decision to transfuse blood should be based on the patient's hemoglobin level, overall clinical condition, and the extent of blood loss during surgery.
Choice D rationale:
"I have a stable cardiovascular disease." Rationale: The presence of stable cardiovascular disease is not directly related to the need for a blood transfusion based on a hemoglobin level of 7 g/dL.
The decision to transfuse should primarily be based on the patient's hemoglobin level and symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Lactated Ringer's solution is a volume expander, not a therapy for improving oxygen-carrying capacity.
It can increase blood volume but does not address the underlying cause of anemia or hypoxia.
Choice B rationale:
Hemostatic agents like protamine sulfate are used to reverse the anticoagulant effects of heparin.
They are not indicated for improving oxygen-carrying capacity in anemic patients.
Choice C rationale:
Oxygen therapy delivered through a nasal cannula or mask is indeed a therapy to enhance oxygen-carrying capacity.
It provides supplemental oxygen to improve oxygen saturation in the blood, which can alleviate hypoxia in anemic patients.
Choice D rationale:
Erythropoietin injections can stimulate the production of red blood cells in the bone marrow.
This therapy can increase the patient's hemoglobin levels and improve oxygen-carrying capacity, making it a suitable recommendation for a patient with hypoxia due to anemia.
For , choices A, C, and D are correct as they are examples of volume expanders that can increase blood volume and circulation without adding blood cells.
For , choice C is correct as hemostatic agents like vitamin K or tranexamic acid can promote clotting and stop bleeding in a patient with a bleeding disorder.
For , choice D is correct as erythropoietin injections can stimulate the production of red blood cells and help alleviate hypoxia in a patient with anemia.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Ensuring that blood products meet quality and safety standards is a fundamental aspect of blood transfusion safety.
Blood products must be properly screened and tested for infectious diseases and compatibility to reduce the risk of adverse reactions in the recipient.
Choice B rationale:
Using the right blood product for the right patient at the right time is a critical safety measure.
Administering the wrong blood type or product can lead to severe and life-threatening reactions, such as hemolytic transfusion reactions.
Choice C rationale:
Applying a barcode system or electronic verification system for patient and product identification is essential for ensuring that the correct blood product is matched to the right patient.
This technology helps prevent administration errors.
Choice D rationale:
Administering blood products using reusable equipment is not recommended due to the risk of cross-contamination and infection transmission.
Single-use, disposable equipment is the standard for blood transfusion to enhance safety.
Choice E rationale:
Disposing of used blood products and materials according to hospital policy is crucial to prevent potential contamination and reduce the risk of infection transmission.
Proper disposal procedures are a part of overall transfusion safety protocols.
Choice D is not a recommended safety measure as using reusable equipment for blood transfusions can increase the risk of contamination and transmission of infections.
Therefore, it should not be included as part of blood transfusion safety measures.
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